Doctor Name: | CASSAUNDRA LINETTE GOVAN |
NPI Number: | 1114273232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC006231 |
Business Practice Address: | 913 Main St Suite H Stone Mountain, GA - 300833096 |
Business Phone Number: | 6786851374 |
Business Fax Number: | |
Mailing Address: | 913 Main St, Suite H STONE MOUNTAIN |
State: | GA |
Postal Code: | 300833096 |
Phone Number: | 6786851374 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2012 |
NPI Last Update Date: | 03/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC006231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |